Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,218.00 / $1,218.00 / $1,218.00	Facility		$1,218.00	$1,218.00	$1,218.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $695.04 / $817.68 / $1,218.00	Professional		$695.04	$817.68	$1,218.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.61 / $115.61 / $1,140.20	Professional		$115.61	$115.61	$1,140.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,529.40 / $3,600.31 / $3,904.94	Professional		$3,529.40	$3,600.31	$3,904.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.96 / $606.91 / $1,745.28	Facility		$138.96	$606.91	$1,745.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $105.25 / $109.70 / $139.03	Professional		$105.25	$109.70	$139.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,280.85 / $2,739.59 / $2,778.49	Facility		$2,280.85	$2,739.59	$2,778.49
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,280.85 / $2,739.59 / $2,778.49	Professional		$2,280.85	$2,739.59	$2,778.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.34 / $447.80 / $1,745.28	Facility		$98.34	$447.80	$1,745.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.61 / $132.34 / $162.94	Professional		$115.61	$132.34	$162.94
United Facility/Professional Professional Modifier Low / Median / High Price $581.26 / $688.37 / $1,147.29	Professional		$581.26	$688.37	$1,147.29